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(~'~'h" ~ Engineering <br /> <br /> --PROJECT AUTHORIZATION FORM Public Works <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> / ~ F;~ 2 ~ ? (541) 662-5560 <br /> Service ID: ~p-°~Qh`A Q + t I SID PB L !JC JE ? a <br /> Project title• / NII {~1 Qy~ ~14~'tflr / a'!'L Y~ci~Yl ~sn ~ ~J' ¢ !7 V ?~t <br /> //oce/ion eiM Hwk CauripHOn/ <br /> Project manager contact /private engineer: (1 ti v?' ° - ~Z <br /> PROJECT SCOPE: <br /> Paving: /wbrns/ Bike lanes /paths: M~Z 1 I <br /> Concrete walks: Setback /Curbside <br /> na~rn~ rani <br /> Wastewater Stormwater Landscaping <br /> Signal Street lights ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City 7~ ~~y~ Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS / SPECIE~ RO T I FO ! INTERDEggARTMEN AL OF~K D SCRIPTION: <br /> APPROVED: ]~.g <br /> Project Manager Date <br /> Principal Engineer Date 12 ~ S'IJ~~ <br /> Facilities Manager Date <br /> City Engine Date ~ 7 ~ O~f <br /> nF~OR USA'-E(I BY ADMINIIS,TRATION ONL~Y~~~/~~ <br /> Capit tNo. 1 ` ~~I / ACK ~ !!~~_~-Y""~ <br /> q by ate _ `~Z~~ <br /> Accounting y Date <br /> U L2 SJ,N'r WtGt/. <br /> ATTACHMENTS: U J <br /> Budget Estimate-~~ ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order Public Improvement Permit Application ~ Map <br /> ? Request for Scaping Meetinq '~,~jt Cht'710~r' <br /> ENG 415 WHITE /Finance YELLOW / Atlminisiraticn File PINK! Engineering File GOLDENROD / Protect Manager J[/L YZOb1 <br /> <br />